Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,832.74 / $1,832.74 / $1,832.74	Facility		$1,832.74	$1,832.74	$1,832.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.49 / $1,832.74 / $3,010.97	Professional		$1,505.49	$1,832.74	$3,010.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,424.97 / $7,486.27 / $31,860.83	Facility		$4,424.97	$7,486.27	$31,860.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,814.23 / $2,814.23 / $2,926.80	Professional		$2,814.23	$2,814.23	$2,926.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $4,449.35	Facility		$2,400.00	$2,400.00	$4,449.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,400.00 / $4,293.00	Professional		$1,752.00	$2,400.00	$4,293.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $3,147.49 / $4,087.05 / $5,184.10	Professional		$3,147.49	$4,087.05	$5,184.10
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $4,813.81 / $4,813.81 / $4,813.81	Professional		$4,813.81	$4,813.81	$4,813.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,090.40 / $2,986.29 / $3,135.60	Professional		$2,090.40	$2,986.29	$3,135.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.37 / $1,847.35 / $3,271.15	Professional		$1,373.37	$1,847.35	$3,271.15